Organization
COMMUNITY YOUTH SERVICES
Active
Organization
COMMUNITY YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK RAY HARRIS (CEO)
(360) 918-0780
Entity
Organization
Contact information
Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
(360) 943-0785
Mailing address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
(360) 943-0785
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
281
WA
Other
Enumeration date
10/17/2012
Last updated
04/12/2019
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